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Communicative styles and adaptations in physician–parent consultations
Abstract
This investigation compares the degree to which personal and interactive factors respectively account for variation in patterns of physician-parent communicative exchange. The analysis of audiorecordings of 115 pediatric consultations revealed several notable findings: (a) individual physicians differed in the degree to which each provided information, issued directives, exhibited positive socioemotional behavior, and engaged in partnership-building, (b) parents who asked more questions and expressed more negative affect (e.g. concerns, frustrations) received more information and directives from physicians, (c) parents who were more affectively expressive elicited a greater number of positive socioemotional comments from doctors, and (d) parents' question-asking and opinion-giving were related to the parents' level of education and the degree to which physicians' engaged in partnership-building. The results of this study suggest that, as are other forms of interpersonal communication, medical consultations are processes of personal and mutual influence that unfold according to the characteristics of the individuals and to interactive processes related to how interactants adapt their communication to one another.
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“The studies of Street et al. (supra) concluded that doctors provided more comments of reassurance, support and empathy to parents who were more affectively expressive (more specificly who expressed more negative affect).”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]
In the citing paper
“In this study it becomes clear that more educated parents not only are more expressive and have a higher level of being opinionated but they also ask more questions (pr = 0.24, p < 0.02).”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]
In the citing paper
“The variability among doctor-patient interactions in part reflects also these differences in the physicians' communicative routines for conducting a consultation.(26)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]
In the citing paper
“The patients' communicative behaviour is directly influenced by his/her personal and social attributes such as educational level, age, sex, anxiety, … .(25,26)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]
In the citing paper
“Finally, although not immediately related to the patients' social class, we mention the large interindividual variation in the physicians' degree to which he provides information, issues directives, exhibits positive socio-emotional behaviour and engages in partnership-building.”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]
In the citing paper
“More educated patients communicate more actively (they ask more questions, are more opinionated) and show more affective expressiveness, eliciting more information from their physician.”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]
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Krippeit, L., Belzer, F., Bouar, H. M.-L., Mall, V., & Barth, M. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.07.032 · Cited by 26
Metadata
- Authors
- Street, R. L.
- Affiliations
- Texas A&M University (US)
- Corresponding author
- Street, Richard L.
- ORCID
- Street, Richard L.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1992-05
- Volume
- 34
- Issue
- 10
- Pages
- 1155-1163
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2066437506
- Cited by
- 196
- References
- 53
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 7 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 12 · 2012: 3
- FWCI
- 6.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Social Sciences › Arts and Humanities › Language and Linguistics › Language, Discourse, Communication Strategies
- Keywords
- parent-physician communication, pediatric consultation, communication styles, communication adaptation, physician-patient interaction, information provision, partnership development, parental education, interpersonal influence
- MeSH terms
- Communication, Educational Status, Emotions, Female, Humans, Individuality, Male, Parents, Pediatrics, Personal Satisfaction, Physician-Patient Relations, Referral and Consultation, Social Adjustment
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